Twin Territory

Since my last post I was back up to see my consultant in Neo Fertility and I am back on hormones and medication. The meeting in Neo Fertility went really well. I was so nervous and wasn’t sure how I would take to the new consultant as I found the last one very cold and not invested, she made me feel like I was just a number and I felt rushed at every appointment. For the cost of the appointment and the importance of the information being discussed I would at the very least expected to feel heard and receive some compassion.

I met with Dr. Boyle and he went through my charting, what happened over the summer and my recent HSG scan. I explained that I came off medication for the summer as I believed my tubes were blocked and there was no point. He was very kind and understanding and full of encouragement. He asked how I was coping with the process mentally and I thought this was a nice touch. He discussed timelines to stick to the plan and went through different methods I could use to decrease or break down my adhesions and scar tissue, which might be beneficial.

Then it was down to the serious business, the medication. After reviewing my charts, he said that I wasn’t reacting to the lower dose of medication. This was not surprising to me as I felt all along that my doses needed to be increased. I only had one good month after an increase from 10 letrozole to 14. Taking this into consideration my dose was increased to 21, which was 7 tablets on days 3, 4 and 5 of my cycle. This was putting me into twin territory, a small chance but a chance all the same.

He also increased my HCG/pregnol injection on day 14 from 10,000 units to 15,000 units. My doses on days 3, 5 and 7, after my peak day, were also increased from 2,500 units to 5,000 units per day. The letrozole is to encourage the growth of a large follicle, being on this high dose may produce two large follicles, hence the chance of twins. The HCG on day 14 is to help rupture the follicle and release the egg. On peak plus 3, 5 and 7 the same injection is used to increase progesterone levels, which need to be at a certain level for the fertilised egg to attach itself to the womb and to not miscarry.

I am also taking cyclogest from peak plus 3 for 10 days and oestrogen for the same days. Throughout each cycle I have to take metformin, folate, vitamin D and also thybon. The Thybon is new and he prescribed it to me as I felt with all the exercise and trying to eat healthy I wasn’t getting anywhere. He asked if I cold all the time and if I felt hard done by with my efforts and said that my metabolism was probably very low and this would help give it a kick start. I was very excited about this, it’s so frustrating putting all the effort in and feeling like you’re not getting anywhere.

I left feeling hopeful and excited about trying for a baby again. In the past I got so worked up and consumed with the mechanical and scientific side of things I forgot about all the fun that can be had in the meantime. I was inconsolable every month when my periods came, and it took me days to recover. This time, after speaking with Dr. Boyle, I am going to use the time until we get pregnant to enjoy the baby making process and to become closer with Sean. If we take the stress out of the situation it might help our bodies relax.

I filled my prescription in the days that followed. I started on the metformin, folate, vitamin D and thybon straight away and waited for my periods to come to take the letrozole. A week into taking the meds I felt great and thought my body adjusted well. The metformin upset my tummy in the past, so I was relieved it didn’t happen this time. However, my relief was short lived and after taking the hormones my tummy turned. I don’t know if it was the hormones or a bug, but I was sick with diarrhoea for days. My mood also changed but I can’t really describe how I felt. I wasn’t bouncing around, I wasn’t sad, I wasn’t grumpy, I was just mwah!!! Like the emoji.

In the coming days I have to go for follicle tracking and this should give me an indication of how the medication is preforming. I will know after this scan how many eggs are going to rupture and what sizes they are, if there are more than one.

I mentioned in my last post about not knowing how I felt about IVF and not knowing if it was something I was willing to consider. I don’t want this statement to be taken out of context or to seem harsh in anyway. It was merely meant that I have been through nearly three years of trying, both naturally and with the aid of hormones. I am lucky to already have two beautiful boys and I am sure that if I had no children when I started this process I would have jumped at the chance, but now, having been through the mental and emotional strain of this process, I would not be in the right frame of mind to make the leap to IVF. I suffered really badly with post-natal depression, which manifested into anxiety and OCD. Not being able to control things has been a huge issue for me. Making a commitment to IVF would be a huge step with no guarantee and it’s not a decision I could make lightly.

I understand the overwhelming urge to have children, and I understand the need your body as a woman feels to carry a child and to be a mother. It is not fair when you are faced with difficulties trying to conceive, when you know that you would love that child with every ounce of your being. Just know that you are an amazing person and through whatever means you decide to try, you are doing what’s right for you. I wish you every happiness and hope that you and I will both get what we desire in the end. Keep your head up and your heart filled with love……………………….

To be continued


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